跨省办院、共建医联体等方式，让长三角地区居民在家门口就能享受到优质医疗服务，而数智化赋能下的异地就医一体化，也为人口流动创造了更加便 利的条件。 长三角一体化上升为国家战略以来，沪苏浙皖三省一市持续推动医疗资源跨域流动，让百姓在家门口就能看得上病、看得好病。 69岁的钱国芹前不久在安徽省滁州市凤阳县人民医院，通过转诊会诊中心外请专家，完成了手术治疗。 患者 钱国芹：医院请了外地的专家为我们亲自手术，让我们普通的老百姓在我们本地就能享受到大城市的专家医疗资源。 过去凤阳县老百姓遇到复杂病情，往往需要远赴上海、南京跨省就医，不仅路途远、报销比例低，还面临专家号挂号难的问题。国家实施长三角一体化 战略以来，安徽省主动对接上海、南京等医疗资源富集地区，以紧密型医联体、名医工作室、专科联盟等形式，吸引长三角优质医疗资源下沉。 浙江嘉兴的陈月婷常年在上海工作生活，怀孕分娩时她选择在上海的医院就医，新生儿户口、身份证、医保卡等手续在"随申办""浙里办"等平台一站式 办结。 2018年，长三角三省一市率先试点医保跨省异地就医住院费用、门诊费用直接结算。 安徽滁州市凤阳县人民医院 党委书记 徐娜：这是我们主要合作的一些医院。我 ...

Core Insights - The implementation of cross-provincial direct settlement for medical insurance is significantly improving convenience for insured individuals, allowing for quick reimbursement processes without the need for physical paperwork [1][2] - The number of medical institutions connected for cross-provincial direct settlement has reached 644,000, with over 500 million services expected during the 14th Five-Year Plan, reducing out-of-pocket expenses by over 550 billion yuan [1][2] - The expansion of direct settlement services now includes outpatient chronic diseases, with additional conditions being added in 2024, enhancing accessibility for patients requiring ongoing treatment [2] Group 1 - Cross-provincial direct settlement allows insured individuals to complete reimbursement processes in seconds, eliminating the need for physical invoices and long wait times [1] - The national medical insurance code has been adopted by over 1.236 billion people, with daily settlements exceeding 14.5 million transactions, showcasing the efficiency of the system [2] - The online handling rate for medical insurance services has increased from 55% in 2020 to 92% in 2024, indicating a significant improvement in digital service accessibility [2] Group 2 - The number of designated medical institutions for outpatient chronic disease direct settlement has grown to 74,000, reflecting a 2.62% increase from the end of 2024 [2] - The National Medical Insurance Bureau is committed to enhancing digital services to meet diverse healthcare needs, indicating ongoing improvements in the system [3]

Core Insights - The implementation of cross-provincial medical insurance direct settlement is significantly improving convenience for insured individuals, allowing for immediate reimbursement at hospitals without the need for lengthy processes [1][2] - The national medical insurance system has established a robust infrastructure, with over 12.36 billion people using the medical insurance code, facilitating an average of 14.5 million daily settlements [2][4] Group 1: Direct Settlement Benefits - Cross-provincial direct settlement applies to both long-term residents and temporary medical service users, enabling insured individuals to enjoy benefits based on the "medical location directory and insurance location policy" after online registration [2] - The service has benefited over 500 million people during the 14th Five-Year Plan period, reducing out-of-pocket expenses by over 550 billion yuan [2] Group 2: Expansion of Services - The direct settlement for outpatient chronic diseases is expanding, with new conditions added for 2024, including chronic obstructive pulmonary disease and rheumatoid arthritis, enhancing access to necessary treatments [3] - As of the first quarter of 2025, the number of designated medical institutions for outpatient chronic disease direct settlement has reached 74,000, reflecting a growth of 2.62% from the end of 2024 [3] Group 3: Technological Advancements - The National Medical Insurance Service Platform App is continuously improving its features, allowing for online registration and information queries, thus streamlining the process for insured individuals [4] - The integration of services in the Beijing-Tianjin-Hebei region allows for seamless access to medical insurance benefits without the need for additional registration procedures [4]

Core Viewpoint - The implementation of cross-provincial medical insurance direct settlement is significantly enhancing convenience for insured individuals, allowing for immediate reimbursement without the need for lengthy processes or upfront payments [1][2]. Group 1: Direct Settlement Benefits - Cross-provincial direct settlement applies to both long-term residents and temporary medical service users, enabling insured individuals to enjoy direct reimbursement based on the "medical location directory and insurance policy" after online registration [2]. - As of now, there are 644,000 cross-provincial networked medical institutions across the country, with over 500 million direct settlement services provided during the 14th Five-Year Plan period, reducing out-of-pocket expenses for the public by over 550 billion yuan [2]. Group 2: Technological Support - The efficiency of cross-provincial direct settlement is supported by a robust medical insurance information system, with over 1.236 billion people using the medical insurance code by June 2025, and an average of 14.5 million daily settlements [2]. - The online handling rate of medical insurance government services has increased from 55% in 2020 to 92% in 2024, indicating significant improvements in service accessibility [2]. Group 3: Expansion of Services - The direct settlement for outpatient chronic special diseases is expanding, with five new diseases added in 2024, including chronic obstructive pulmonary disease and rheumatoid arthritis, enhancing coverage for patients [3]. - As of the first quarter of 2025, the number of designated medical institutions for outpatient chronic special disease direct settlement reached 74,000, a 2.62% increase from the end of 2024 [3]. Group 4: Future Developments - The National Medical Insurance Service Platform App is continuously improving its features for online registration and inquiry, facilitating easier access to medical insurance services for the public [4]. - The National Medical Insurance Bureau plans to further enhance digital capabilities to provide more precise and refined services, catering to diverse medical insurance needs [4].